1 / 16

Pathways to Work Condition Management Programmes York Cardiac Care & Rehabilitation Conference

Pathways to Work Condition Management Programmes York Cardiac Care & Rehabilitation Conference. Dr Nick Niven-Jenkins Corporate Medical Group Department for Work and Pensions March 2005. Background. Sick and away from work 1 million people report sick each week

thiery
Download Presentation

Pathways to Work Condition Management Programmes York Cardiac Care & Rehabilitation Conference

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Pathways to WorkCondition Management ProgrammesYork Cardiac Care & Rehabilitation Conference Dr Nick Niven-Jenkins Corporate Medical Group Department for Work and Pensions March 2005

  2. Background • Sick and away from work • 1 million people report sick each week • 3000 remain off work at 6 months and • 2,400 of these will not work again in the next 5 years • Sick and claiming benefit • 2.7 million people of working age currently claim a state incapacity benefit 1 [less than 1 million unemployed] • demographics not good - ageing population 1. DWP Analytical Services Division 2002

  3. Incapacity Benefit Caseload • But general ‘health’ of population is improving! • 50% recipients are over 50 years of age

  4. Reported common health problems The ‘others’ category consists of the remaining 13 ICD diagnostic groups The majority of people have mild-moderate medical conditions

  5. Importance of work Work is a major part of most peoples lives Work provides: • Financial status and security • An occupation and activity • Sense of identity and purpose • Social interaction

  6. Impact of worklessness Negative health & social consequences include: • Changing health related behaviour Increased morbidity [especially mental health] & mortality [suicide] • Isolation and social exclusion Social deprivation • Disruption to future work career andassumptions of unemployability • Loss of motivation & confidence Acheson D [1998] Inequalities in health HMSO

  7. Work and health strategy Move people from: welfare dependency to work opportunities Three reasons: • Health – work improves health & reduces health inequalities • Social – rights of people with health condition and/or disability • Economic – loss of expertise impacts on economic growth

  8. Rehabilitation • Traditional process inappropriate for common health problems • Obstacles predominantly psychosocial rather than severe pathology or impairment Therefore: • Use a process that identifies and helps overcome the health, personal,psychological and social/occupational obstacles to recovery

  9. A New Approach • best medical evidence suggests that a return to normal activity - including work - improves well being and enhances recovery for most people • complex clinical interventions or expensive programmes of treatment are often not necessary rather • individuals need to be ‘empowered’ to manage their symptoms and engage in normal activities

  10. Choices • Structured and comprehensive package of help and support • consists of work focussed programme provision and financial incentives • these reforms build on existing range of provisions and introduce new health condition management programmes delivered by the NHS [but funded by DWP]

  11. Condition management programmes Short term interventions lasting 4-13 weeks Main elements of this approach: • Initial assessment • provide patient with information about their condition • address patient concerns and beliefs • provide physical/psychological interventions and support where needed [Health Action Plan] • provide vocational advice and support

  12. Condition management programmes- common elements - • Education • cognitive therapy/behavioural groups • goal setting • work [including supported job seeking] • physical exercise • relaxation/’stress’ management

  13. Results • 10,700 people have returned to work -over 2,000 had been on benefits for more than 2 years • 20-25% of people attending work-focussed interviews take up some form of back-to-work help [choices] • About a third of these started a CMP

  14. Benefit ‘off-flow’ rates

  15. And finally....... www.dwp.gov.uk/medical for more information

More Related